NPI | 1164650636 |
---|---|
Doing Business As | RANDALL FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | GLEN D RANDALL Owner 208-232-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-912) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2009-06-23 |